| Integrated Healthcare Services Llc | |
|
1890 Sw 57th Ave Ste 106 Miami FL 33155-2164 | |
| (786) 536-1701 | |
| Not Available |
| Full Name | Integrated Healthcare Services Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1890 Sw 57th Ave Ste 106, Miami, Florida |
| Authorized Official Name and Position | Mayte Ruiz Santiago (PRESIDENT) |
| Authorized Official Contact | 3052007681 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrated Healthcare Services Llc 1890 Sw 57th Ave Ste 106 Miami FL 33155-2164 Ph: (786) 536-1701 | Integrated Healthcare Services Llc 1890 Sw 57th Ave Ste 106 Miami FL 33155-2164 Ph: (786) 536-1701 |
| NPI Number | 1639578834 |
|---|---|
| Provider Enumeration Date | 08/14/2014 |
| Last Update Date | 05/18/2026 |
| Certification Date | 05/18/2026 |
| Medicare PECOS PAC ID | 6305168931 |
|---|---|
| Medicare Enrollment ID | O20141209001963 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639578834 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| 261QM2500X | Clinic/center - Medical Specialty | ME121113 (Florida) | Secondary |
| Provider Name | Mayte S Ruiz Santiago |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447783246 PECOS PAC ID: 2769897347 Enrollment ID: I20210211002786 |
| Provider Name | Yeisell Duconge Munarriz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346744166 PECOS PAC ID: 6002296092 Enrollment ID: I20220708000367 |
| Provider Name | Arletty Marrero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982311866 PECOS PAC ID: 0840663035 Enrollment ID: I20230309001281 |
| Provider Name | Oscar L Mas |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1801995931 PECOS PAC ID: 5597109041 Enrollment ID: I20240223000206 |
| Provider Name | Richard Tome Izquierdo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164107819 PECOS PAC ID: 0749621837 Enrollment ID: I20240507001852 |
| Provider Name | Yaisel Perea Perez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487353728 PECOS PAC ID: 8022552777 Enrollment ID: I20240705000152 |
| Provider Name | Ivan Acevedo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659122539 PECOS PAC ID: 4981149432 Enrollment ID: I20240709003952 |
| Provider Name | Lisyen Perez Machin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891597316 PECOS PAC ID: 6901321884 Enrollment ID: I20250423002549 |
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